次氯酸钠挤出事故：管理与法医学考量

Sodium Hypochlorite Extrusion Accidents: Management and Medico-Legal Considerations.

作者信息

Kanagasingam Shalini, Blum Igor R

机构信息

Senior Clinical Lecturer, Course Lead MSc and MClinDent in Endodontology School of Dentistry, Faculty of Clinical and Biomedical Sciences, University of Central Lancashire, Preston, UK.

Consultant and Specialist in Restorative Dentistry; Reader in Primary Dental Care and Advanced General Dental Practice, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, UK.

出版信息

Prim Dent J. 2020 Dec;9(4):59-63. doi: 10.1177/2050168420963308.

DOI:10.1177/2050168420963308

PMID:33225856

Abstract

Sodium hypochlorite is considered the most widely used irrigant in endodontics as it exhibits effective antimicrobial activity and has potent tissue-dissolving ability. Whilst it is considered safe when used within the confines of the root canal system, it can cause serious complications when inadvertent periradicular extrusion occurs. This article outlines the complications of sodium hypochlorite extrusion and reviews the appropriate management based on the contemporary evidence. Preventive measures are suggested and the relevant medico-legal considerations are outlined.

摘要

次氯酸钠被认为是牙髓病学中使用最广泛的冲洗剂，因为它具有有效的抗菌活性且有强大的组织溶解能力。虽然在根管系统范围内使用时被认为是安全的，但当意外发生根尖周渗漏时，它会引起严重的并发症。本文概述了次氯酸钠渗漏的并发症，并根据当代证据综述了适当的处理方法。提出了预防措施并概述了相关的医疗法律考量。